Atopic Dermatitis

Atopic dermatitits (AD) or atopic eczema is a childhood eczema which affects about 3% of the children.

They can also have associated asthma and allergic rhinitis (known as the atopic triad).

Itchy red lesions sometimes with oozing form the hallmark of the disease. Severe itching, recurrence of patches, dry skin and a family history of similar disease is usually present. The skin in atopic children is dry and overly sensitive to a variety of environmental allergens that normal children do not react to. Most children with AD get better by 5 years of age, few of them suffer from it till the age of 12 and a very few of them continue to have it in adulthood.

Treatment is aimed at restoring the skin barrier by adequate use of emollients, controlling the acute flares and modulating the immune response by use of topical and oral medications.

Maintainence at home

  • Well controlled environment (neither too warm nor cold, too humid or too dry)
  • Avoiding the use of substances that dry the skin (like soaps). Use of bath oils and frequent moisturizing of the skin
  • Comfortable loose cotton clothing
  • Clean residential premises (no dust or dust mites should be present)
  • Refrain from using talcum powders
  • Perfume containing preparations, perfumes and any other preparations for the skin without consulting a dermatologist.